FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-782522
1. American Academy of Neurology BrainPAC
NOTE:Commmittee Name is different than previously reported
509b 2nd St NELower Level
Washington, DC 20002
NOTE: Address is different than previously reported
Email: mamery@aan.comNOTE: Email address is different than previously reported
2. Date: 05/10/2012
3. FEC Committee ID #: C00435933 This committee is a separate segregated fund. Its connected organization is a Trade AssociationIn addition, this committee is a Lobbyist/Registrant PAC.
Affiliated Committees/Organizations
American Academy of Neurology201 Chicago Avenue South
Minneapolis, Minnesota 55415
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Mr. Rod Larson201 Chicago Avenue South
Minneapolis, MN 55415
Title: Chief Health Policy
Phone # (612) 928-6093
Treasurer:
Mr. Timothy J. Engel201 Chicago Avenue South
Minneapolis, Minnesota 55415
Title: CFO
Phone # (612) 928-6023
Designated Agent(s):
Gena Holland201 Chicago Ave S
Minneapolis, Minnesota 55415
Title: Controller
Phone # (612) 928-6002
Banks or Depositories
US BankP.O. Box 1800
St. Paul, Minnesota 551010080